Orthodontics

I recently received a treatment plan for orthodontic aligners via DM from a company, with zero knowledge of basic orthodontic mechanics. Here’s a summary of the issues I noticed (and trust me, they’re not minor): 1️⃣ **Attachment Misalignment**: Inadequate size and position of the attachments. aside from this the plan relies on a buccal attachment for upper premolar rotation, for almost 20-degree without utilizing palatal attachments or elastics. 2️⃣ **Bone Health at Stake**: The continual expansion and retraction of the premolars can have a drastic effect on bone density. We must prioritize the long-term health of our patients! 3️⃣ **Timing Trouble (wrong staging) **: The plan appears to be moving all teeth simultaneously, leading to unsynergistic movements. Timing is everything in orthodontics as teeth move like a chess pieces. 4️⃣ **Torque Trouble**: The wrong mechanics used with cross elastics for correcting the lower right five are questionable, introducing negative torque in th...

**Attention Orthodontists: Are Your Treatment Plans Up to Snuff?** 🦷 I recently had the opportunity to review an orthodontic aligners treatment plan that was sent to me via DM, and it was a real eye-opener! 👀 As professionals, we must possess sharp eyes and a keen sense of detail to catch potential pitfalls in our treatment strategies. Here are some critical issues I spotted that could jeopardize patient outcomes: 1. **Segmentation Issues**: Fake spaces spotted at upper left 5— also distalizting it without attachment 2. **Timing Troubles(Staging)**: Teeth moving simultaneously without proper anchorage consideration—it's a recipe for disaster, especially with crossbites and crowding. plus unsynergistic movements detected . 3. **Canine Traction Missteps**: Traction initiated too early without proper space. in addition to wrong tration mechnic by adding a button on lower 3s while ignoring the 4s .Mechanics matter, folks! 4. **Counterproductive Mechanics**: Using bite raisers while t...